The four main steps in the life cycle of custom surgical trays are:
The instruments and the trays which carry the instruments must all be decontaminated properly before custom trays can be sent out to clients. This is done with a solution of water that has either been mixed with specialized cleaning solutions or some family of detergent before cleaning commences. Such solutions keep foreign materials from lingering on the equipment before it’s placed into a machine that mechanically washes and dries equipment. After this, items are inspected at the visual and microscopic level to ensure cleanliness before they’re shifted to packaging. Packaging also plays a small role in the decontamination process, as if it is not done correctly, custom trays will definitely be contaminated during transit or storage. Packaging of custom trays must be designed to ensure decontamination is a single step, and not a problem which continues to crop up.
Packaging must cover the entire tray and be done in a sterilized environment where foreign disease-ridden agents don’t have the ability to penetrate. Proper packaging is intensive and will stand the test of time, because some trays are used immediately, others are maintained on site as backup measures in the event a shipment delay or there’s some emergency which increases their demand.
Trays after being properly packaged, it is mandatory that trays be correctly stored. They should be away from the ceiling, away from the floor, and away from the walls. Custom trays should be allowed air circulation. It should be easy to monitor and clean the custom trays adequate. Avoid storing custom trays in wet areas that have a higher instance of contamination.
Continually monitor the status of your trays as they are stored. Additionally, methods of sterilization must be monitored to ensure that they are indeed effective. A number of methods are contemporarily used in order to facilitate this. There are mechanical monitors that keep tabs on temperature and pressure charges, and there are also chemical indicators which have been designed with heat sensitivity or chemical presence. Oftentimes these monitors are placed on exterior packaging. Additionally there are biological indicators which can be used to tell whether or not the sterilization process has been lethal to spores or other infections materials.
Decontamination involves packaging, storage, and monitoring. Because of the microscopic nature behind pathogens which may infect and complicate a surgery, there are often areas where previously-successful measures may prove non-effective. In such scenarios, regular monitoring and proper storage can catch a failure of traditional sterilization procedures. A good way to think of it is like this: sterilization isn’t a destination, it’s a journey. Just like your custom trays will travel from the place where they are packaged to where they will eventually be used. Initial sterilization will have a number of stages between first measures utilized and final operation. To ensure you get the most out of your custom trays, check the steps of the agency you use and be sure of their process.
The Trade Agreements Act, or TAA, applies to GSA contracts which are vehicles for selling products on a federal, state, or local level. GSA contracts include pre-set terms, conditions and pricing that make the sales process more simple. The products that are discussed as part of these GSA contracts must comply with the Trade Agreements Act (TAA). All health products and other related products that fall under the GSA contracts apply.
When a health product is being considered for the Trade Agreements Act, that product needs to have been completed on a manufacture level in an approved country, otherwise compliance does not occur. There is an approved list of locations that fall under this category and these products can then become part of an approved GSA contract. The list is pretty extensive, making this process a bit simpler than it may originally sound.
In addition to health products, other related services apply to the Trade Agreement Act. What is taken into consideration is where the legal address of the company is located rather than where the services themselves are provided. As long as that address is located in an approved country or location, TAA compliance is secured.
The government attempts to provide strict enforcement when it comes to these GSA and TAA related products. While there may occasionally be a product or company that is located in a non-approved TAA country, a large percentage of the products and services are compliant. There are currently more than 20,000 contracts and products that are part of this act. Steps are being taken to improve upon the process of checking and enforcing compliance. Often times, when companies or products are overlooked by the GSA, reports are made by other compliant businesses that are unhappy with their competitor’s non-compliance. An investigation then takes place and if necessary, the products or services are removed. Confidentiality is ensured when a report is filed in order to protect the integrity of the other party that filed the report.
While the Trade Agreement Act, or TAA, relates to a wide variety of different products and services, health-related products fit onto this list as well. Achieving compliance on a GSA and TAA level allows health product companies to take their business to the next level and secure some pretty large clientele. Gaining leverage with the Department of Health and some other big organizations can bring in far more revenue than occurs when just sticking with smaller, privately owned companies.
The Trade Agreements Act of 1979 was passed by Congress to serve several purposes. Firstly, it aims to foster international trade and expand the United States’ ability to engage in trade deals. Secondly, it hopes to further define and better enforce trading rules and regulations. Finally, the act also approved agreements made in a previous act in 1974.
In reference to surgical trays, the part of the Trade Agreements Act (TAA) that is most applicable is the goal of opening international trade deals because it defined various products as compliant if they are manufactured in the United States or in one of the other countries listed in the agreement as a “designated country”. Designated countries include places the United States has an existing free trade agreement with, countries that participate in the World Trade Organization Government Procurement Agreement, “least developed countries”, as well as Caribbean Basin countries.
Due to the requirement put forward by the TAA that all goods and services procured by the federal government (or any government-funded agencies including most hospitals) must be manufactured in either the United States or a designated country, it can be difficult sometimes to insure compliance if there is uncertainty about where products like surgical trays originated or were actually constructed.
On occasion, the TAA will run a compliance check and investigate the origin of an acquired product or service. In these instances, a company or hospital in fact, may have to provide evidence that their surgical trays have been manufactured in the United States or a designated country, or they will be subject to punishment under the rules and regulations of the FAA.
In the specific case of surgical trays, the easiest and most obvious step toward compliance would be simply to make sure that the trays you have purchased originate from one of the countries specified in the list of designated countries. However, surgical trays present a unique issue that may also come up under the FAA: sometimes the customized items contained on surgical trays are new or unavailable from one of the designated countries. CPT Medical, Inc. provides a solution to this issue: “You need to know that the vendors of the tools you’re purchasing have updated the part numbers for their products in the DAPA Management System.” This insures that the part numbers for any pieces on your surgical trays are registered and thus are able to be tracked or investigated by the FAA. CPT Medical, Inc. further has internal procedures that includes verification from manufacturers of place of product production.
Medical devices refer to a list of equipment used by doctors, nurses, and licensed technicians every day, in countless numbers medical fields, and in a countless number of situations.
Medical devices can be simple, such as disposable, simple test strips, tongue blades, bedpans, or custom trays, to a complicated and complex heart/lung machine, pacemakers, and everything in between including but not limited to,
Medical devices are necessary tools professionals use on patients every day, such as in the following examples,
According to the FDA, medical devices are categorized into three divisions Class I, II, and III, (low to high risk.) Each class offers risks and FDA regulations, in regards to safety and the effectiveness each display.
For example, the scope of custom trays in the medical arena number to nearly 2,000 types and designs, in all sizes for sterile and nonsterile procedures.
These custom trays make up specific items used in specific procedures. Each item on these custom trays must have an FDA number and be registered.
For example, you are a manufacturer and want to introduce new custom trays on America’s marketplace; you must adhere to a series of steps to attain clearance for the medical device to be sold in the United States. The FDA gives you this permission to sell your custom trays in the United States.
Processed medical devices are devices cleared by the FDA for use on patients. These processed medical devices include proper instructions, labeling, corresponding therapeutic product, generic equivalents, and similar equivalents. The FDA has a comprehensive list of all processed medical devices including custom trays.
Each of these processed medical devices met a stringent definition of that medical tool, no matter its use or branch of medicine.
The FDAÂ considers any medical device that has not gone through the stringent process for registration certification as being an unprocessed medical device, including various types of custom trays.
Medical devices that have not passed through the FDA’s systematic series of actions for certification nor passed a safety test for patient use are considered unprocessed.
Before you put a medical device on the United States marketplace, there are detailed steps you must go through.
When you want to sell a medical device new to the market, you the manufacturer must go through stringent steps to process your their medical device.
These devices can be Class I, II, or III categories. You must file a Premarket Notification with the FDA. While the FDA may not approve this device, the FDA may give you clearance to sell the device in the United States.
If you change a current product such as custom trays, on the market, you must follow this process especially if it changes the way in which the device operates and it’s safety issues.
You must propose the device’s intention for use, design of the instrument, and it’s suitability for the intended purposes as stated. This process helps to categorize the device in the class of I, II, or III. The device receives a specific code and number.
You receive your registration certificate in the form of an FDA post on their government website, for example, your custom trays. This post is your only registration and is now cleared to sell your custom trays.
In the health profession, every emergency surgical procedure performed requires different medical instruments and tools. An emergency can be life-threatening where time is of the essence, or the situation is still an emergency, but there is time to treat the patient.
It makes no difference if the individual is already a patient in the hospital or awaits care in the hospital emergency room; time is of the essence in any urgent medical situation.
Each emergency requires a different set of medical tools and equipment to meet the emergency situation at hand. For instance, if the patient needs stitches the doctor would not use the same instruments for a patient requiring a tracheotomy. A surgical pack necessitates care in the following atmospheres.
Individualized and specialized tools found in a surgical pack expedites the patient’s treatment. If it were not for a particular surgical pack already made up and designed for specific emergency situations, the professional would have to hunt for each tool to meet the situation at hand.
A surgical pack allows for all tools in one single sterile package. The medical professional does not have to hunt for and gather the needed tools together when time is of the essence.
The benefits to having a sterile surgical pack ready for hospital personnel are as follows.
Years ago hospitals sterilized all of their medical tools and equipment through a process called autoclaving. A sterilization room with autoclaves was where these packs were put together to store in moment’s notice.
These days’ medical manufacturers receive orders from health facilities to design and put together a particular surgical pack for all sorts of medical emergencies. The manufacturer is always looking to the medical community for support on how they can put a surgical pack together more efficiently, in a cost-effective manner.
It is through the efforts of the health community and health manufacturer they can provide to doctors and nurses the right surgical pack for the right time and place.
A pre-packaged surgical pack is all set and ready to go with all the necessary sterilized tools needed to meet all emergencies. Those appointed the responsibility of ordering a surgical pack no longer have to account for every item or order each item individually as that person can now order the complete surgical pack.
The list of sterile tools that medical professionals use every day is enormously wide and varied. The list below is just a few of the items found in a surgical pack.
Thanks to the combined efforts of medical professionals and manufacturers, a surgical pack has all the tools for the medical professional to meet the surgical needs of all patients.
In the health profession, every emergency surgical procedure performed requires different medical instruments and tools. An emergency can be life-threatening where time is of the essence, or the situation is still an emergency, but there is time to treat the patient.
It makes no difference if the individual is already a patient in the hospital or awaits care in the hospital emergency room; time is of the essence in any urgent medical situation.
Each emergency requires a different set of medical tools and equipment to meet the emergency situation at hand. For instance, if the patient needs stitches the doctor would not use the same instruments for a patient requiring a tracheotomy. A surgical pack necessitates care in the following atmospheres.
Individualized and specialized tools found in a surgical pack expedites the patient’s treatment. If it were not for a particular surgical pack already made up and designed for specific emergency situations, the professional would have to hunt for each tool to meet the situation at hand.
A surgical pack allows for all tools in one single sterile package. The medical professional does not have to hunt for and gather the needed tools together when time is of the essence.
The benefits to having a sterile surgical pack ready for hospital personnel are as follows.
These days’ medical manufacturers receive orders from health facilities to design and put together a particular surgical pack for all sorts of medical emergencies. The manufacturer is always looking to the medical community for support on how they can put a surgical pack together more efficiently, in a cost-effective manner.
It is through the efforts of the health community and health manufacturer they can provide to doctors and nurses the right surgical pack for the right time and place.
A pre-packaged surgical pack is all set and ready to go with all the necessary sterilized tools needed to meet all emergencies. Those appointed the responsibility of ordering a surgical pack no longer have to account for every item or order each item individually as that person can now order the complete surgical pack.
The list of sterile tools that medical professionals use every day is enormously wide and varied. The list below is just a few of the items found in a surgical pack.
Thanks to the combined efforts of medical professionals and manufacturers, a surgical pack has all the tools for the medical professional to meet the surgical needs of all patients.
Heat therapy is beneficial for a number of different therapies. It can be used at home to treat minor discomfort or it can be used post-operatively as a way to increase blood flow to a certain area to aid in healing. The most effective moist heat methods are those that can maintain an appropriate temperature on their own without burning the patient while still providing enough heat for effectiveness. Ultimately you want the temperature to be warm enough to be absorbed deep down into the muscular level and moisture can help with this process.
Moist heat and dry heat are both used for heat therapy. Dry heat is usually administered by way of an electric heating pad, sauna, etc. This therapy is designed to draw moisture out of the body and some people find it more comfortable and helpful. Moist heat on the other hand, is applies through a moist heating pack, hot bath or hot water bottle. Moist heat tends to provide more relief on a deeper level and is a bit easier to provide consistent temperatures.
Moist heat can be included in custom trays and can be applied a number of ways. These methods include:
A medical professional can always advise the best ways to utilize moist heat methods no matter what the need may be. The duration that the heat should be applied as well as the frequency varies with each injury and is based off the magnitude of the issue. Usually, fifteen to twenty minutes is the amount of time that moist heat methods are applied; every two to three hours. Custom trays in medical facilities can include moist heat packs for post operative use to keep patients comfortable and promote healing faster. There are instances when cold therapy is recommended as well. Sometimes medical professionals like to alternate these treatments. For outpatient therapy, many patients have a preference when it comes to heat therapy and sometimes it takes trial and error to find out what will work the best for long term relief.
There are four main steps involved in processing custom trays, and five total ones. Those steps are:
Custom trays must first be commissioned by a practice in need of them. Such practices often tabulate their regular operational expenses and requirements, then put together orders based on the proclivities of operating surgeons. This is not really part of the overall process, as it carries the highest level of individualization. It is integral to recipients receiving the right trays, however.
Custom trays must be properly sterilized or they’re useless. This procedure usually has several methods. Primarily, the trays and the equipment which will be stored on them are washed with water and a cleaning, detergent-like solution. Then they are visually and microscopically examined to ensure no microorganisms have remained resident on the trays. Once they’ve passed this rigorous inspection, they’re sent off to packaging.
Custom trays must be packaged such that they’ll not only survive the trip from the place of configuration to the place of utilization, but such that they will remain sterile while stored. This means that packaging should be of a top-tier variety that recommends itself. Additionally, that packaging should be designed such that it conforms to a given tray’s eccentricities. Some equipment will have sharper edges than other equipment, and so must be stored accordingly. Contents should not shift during transit–though there will regularly be instances of this, as even the best packaging can’t prevent physics from intervening.
Custom trays should not be stored too near the ceiling or walls. Sometimes they can be stacked atop one another, but then again sometimes this is a bad idea. Microorganisms will collect in some statistical number on the exterior of the trays, so they should be secured in as sterile an environment as possible. Additionally, some trays may not be stackable atop one another, as their particular tools would break through packaging over time. Finally, packaging must be done in such a way that the trays are continually accessible for purposes of monitoring.
Because pathogens, microorganisms, and other invading unknowns have a statistical probability of contaminating trays, orders of them must be monitored while in storage to ensure they remain sterilized. A non-sterilized tray could spell the death of a patient. Additionally, if water or some other contaminant gets into storage, it could sour the whole lot of them should there be no means of localized sterilization on-site. All these things are preventable if everything is being closely monitored, but are likely to occur if trays are left unchecked in some sterilized storage closet somewhere. Entropy will allow microorganisms in, no matter how secure that storage area is. Monitoring custom trays over time is essential to ensure they are fit for use later on.
Unless you’ve any kind of sterilization equipment on-site, custom trays must be entirely disposed of after use. That said, there are often disposal options which allow certain equipment that can be re-sterilized to be sent back to the tray packaging organization. This is going to vary between agencies, and depend on the items used on the trays, as well as how they were used. Oftentimes tools used with patients can never be reused in the same facility unless they’ve been completely recycled or something of that ilk.
Order three families of tray. Those for immediate use, those for backup use, and a backup set for your backups in case all else fails. This provides perpetual utility.
The question is,
“Do you understand the Affordable Care Act?”
“Does anyone understand this health care act?”
This law is one of the least understood legislation in Government history. Government officials do not understand this law.
The Affordable Care Act or Obama Care was signed into law before anyone even reads this law in full. While Obama Care was a promise of a better health care system, it has not proved true.
This law has been complicated and confusing to all who try to understand what it says. You probably found this law confusing and frustrating, found costs rising, and in the end decided not to buy into a plan at all and go without health care coverage risking a penalty of at least $600.00
Every part of the medical community is affected by the Affordable Care Act in negative ways. Thousands of custom procedure trays used every day see rising costs.
One thing is for certain, and that is this law significantly and negatively impacts all medical supplies, like custom procedure trays.
There is an incredible mound of paperwork, making up this law. This hard to understand law affects everything and everyone medical, including custom procedure trays.
Two Bright spots to the ACA
The ACA signed into law so that you could get low-cost health care coverage. You may never find a plan that fits your needs or budget, so you do not buy anything.
The biggest drawback to this plan is if you do not purchase a plan you pay a penalty of up to at least $600.00. If you cannot afford this health care coverage, you certainly cannot afford the penalty.
Originally, each state had to complete the Affordable Care Act process. Some states were confused, and many lacked the understanding of the law forcing the government to step in and complete their process.
The Affordable Care Act is not uniform across all states. While this scheme helps some Medicaid recipients in some states, it does not help Medicaid recipients in other states.
For businesses everywhere who offer health care plans it meant,
Lots of Facts and Myths
Will Things be Worse or Better in 2017?
You can only hope that an Obama Care replacement as promised by the new 2017 Government happens.
The Trump promise is,
Even Custom Procedure Trays are Affected
The medical community strives to improve patient care, lower facility costs, and increase the quality of care. For instance, developing on-site custom procedure trays and cut the cost from a middleman.
These new rules affect everyone in the health care field, from doctors to hospitals, to clinics, dentists, eye care, medicine, medical equipment such as custom procedure trays, essential to quality patient care.
President Elect Trump promises to make health care simpler, easier to read, and genuinely affordable for everyone, lowering costs for medical supplies like custom procedure trays, and medicine, by replacing this hard to understand ACA.
Custom surgical trays are highly famed for their convenience. Their ability to bundle multiple functionality onto one tray not only makes them theater friendly but also makes the easier to transport and dispose. Since custom tray designers will always have packing and racking in mind, they will put them in the best packing options possible.
that clinic management has to instill when storing and preparing traditional trays.
This extends over to disposal. The custom tray can go back to the packaging it came in or you can slip them into clinical bags ready for disposal. If you are lucky, choose something that allows you to repackage without posing a biohazard. This will help you tap deeper into the benefits of custom trays.
Packaging a custom tray stock might sound like a complication to anyone who was used to traditional surgical supplies and trays. However, the fact that the manufacturer has adapted everything to suite your use case means that the trays will store away almost naturally.
This is why custom trays more of a convenience. They are a perfect way to increase efficiency in the operation room by limiting the number of procedures needed to get the right equipment from the store, use it and dispose it off safely.
It is always important to ensure that the custom procedure trays are stored in the right conditions so that they can always be available when required for use. As a general rule, it will involve maintaining the sterility of the products, proper arrangement of the products and keeping track of the product.
Custom procedure trays are mostly stored at the point of use, may it be a clinic or operating theater. However, regardless of the location, there should be a designated storage area which is always monitored to ensure that all custom procedure trays are maintained properly. There are three levels for storing this equipment.
e technical person that is mandated to regulate such equipment. The manufacturer is also required to ensure that the recommended safety and quality assurance tests are carried out for all the custom procedure trays. They should also clearly state the correct use of each tool. The medical practitioners should also ensure that the product is sterile by checking that;
As a rule of thumbs, custom procedure trays that have stayed for long without being used should be considered a product of overstocking and a proper assessment undertaken on its future. Other ways in which the product quality may be maintained include;
Lack of proper management of this areas may have an adverse effect on the integrity of the custom procedure trays and may render them unsuitable for use.